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Individual

ELIZABETH MUNDY-HEMMERICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LCSW, QMHP

Contact information

Practice address
2108 63RD ST, KENOSHA, WI 53143-4454
(262) 652-2406
Mailing address
4100 VETERANS PKWY, MCHENRY, IL 60050-8350
(815) 385-6400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
1041C0700X
Clinical Social Worker
149.013900
IL
1041C0700X
Clinical Social Worker
Primary
9207-123
WI

Other

Enumeration date
07/28/2007
Last updated
10/26/2021
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